Nhc Healthcare, Smithville
Smithville, De Kalb County, Tennessee · CCN 445116 · For-profit (Corporation) · part of National Healthcare Corporation (69 facilities, chain average 4 stars)
CMS rates Nhc Healthcare, Smithville 3 of 5 overall as of August 2026. 114 certified beds, 84 residents a day on average. 10 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $228,511 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.81961 hours per resident per day |
|---|---|
| Registered nurses | 0.60573 hours per resident per day |
| Weekend total | 3.36516 hours per resident per day |
| Nursing staff turnover | 42.2% (registered nurses 37.5%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-02-27 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-03 |
| 2025-02-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-12 |
| 2024-04-11 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-06-19 |
| 2024-04-11 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-05-02 |
| 2024-04-11 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-05-02 |
| 2024-04-11 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-30 |
| 2024-04-11 complaint survey |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-02 |
| 2024-04-11 complaint survey |
Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-02 |
| 2024-04-11 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-02 |
| 2018-10-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-11-30 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-11 | Payment denial for 40 days from 2024-05-10 | — |
| 2024-04-11 | Fine | $228,511 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Blackrock Inc. Organization | adp of the snf | — | 2010-01-20 |
| National Health Corporation Organization | adp of the snf | — | 2025-06-02 |
| National Healthcare Corporation Organization | adp of the snf | — | 2025-03-24 |
| Vanguard Group Inc. Organization | adp of the snf | — | 2006-11-30 |
| Morgan Stanley Institutional Advisors LLC Organization | indirect ownership interest | — | 2024-11-08 |
| Nhc/Delaware Inc. Organization | indirect ownership interest | — | 2000-07-01 |
| National Healthcare Corporation Organization | operational/managerial control | — | 2000-07-01 |
| Nhc-Op Lp Organization | operational/managerial control | — | 2000-07-01 |
| Dodson, Vicki Individual | adp of the snf | — | 2019-06-01 |
| Kidd, Brian Individual | adp of the snf | — | 2017-01-01 |
| Sherwood, William Individual | adp of the snf | — | 2025-03-30 |
| Vaden, Ryan Individual | adp of the snf | — | 2025-03-30 |
| Bidwell, Gregory Individual | corporate officer | — | 2000-07-01 |
| Bidwell, Gregory Individual | managing control - governing body | — | 2000-07-01 |
| Bidwell, Gregory Individual | operational/managerial control | — | 2000-07-01 |
| Dodson, Vicki Individual | operational/managerial control | — | 2019-06-01 |
| Kidd, Brian Individual | operational/managerial control | — | 2017-01-01 |
| Panter, Lori Individual | operational/managerial control | — | 2020-05-18 |
| Sherwood, William Individual | operational/managerial control | — | 2025-01-01 |
| Ussery, Robert Individual | operational/managerial control | — | 2000-07-01 |
| Vaden, Ryan Individual | operational/managerial control | — | 2019-10-11 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Nhc Healthcare, Smithville.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in De Kalb County.